The American text-book of obstetrics for practitioners and students . and if the formeris engaged, it is usually best to apply forceps and to disregard the prolapsedextremities. In the case of nuchal position of the arm an effort should bemade to dislodge the latter, but it may be necessary to fracture it before thedelivery of the child can be secured. Multiple Births.—Twin labors are usually easy and uncomplicated (75 percent.), but complications are more frequent than in single labors. Malpresen-tations are common (PI. 40). The following table from Spiegelberg, based on1138 labors, gives the
The American text-book of obstetrics for practitioners and students . and if the formeris engaged, it is usually best to apply forceps and to disregard the prolapsedextremities. In the case of nuchal position of the arm an effort should bemade to dislodge the latter, but it may be necessary to fracture it before thedelivery of the child can be secured. Multiple Births.—Twin labors are usually easy and uncomplicated (75 percent.), but complications are more frequent than in single labors. Malpresen-tations are common (PI. 40). The following table from Spiegelberg, based on1138 labors, gives the combined presentations in the order of their frequency: Both heads presenting 49 per cent. Head and breech Both pelvic presentations Head and transverse Breech and transverse Both transverse 35 It may be noted that a transverse position is found in per cent, of difficulties in labor are frequent, the uterine muscle is usuallyweakened by overstretching, and there may be trouble in the third stage of DYST0C1 L Plate 1,2, Nuchal position of arm. 3. Compound presentation (Ahlfeld). i. Compound presentation (Hint)-5. Compound presentation. DYSTOCIA weakened by overstretching, and there may be trouble in the third stage of labor in the delivery of the placenta. B e form of operative interference is demanded in about 25 per cent. of all cases. I n the majority of cases (7!> per cent.) the interval between the delivery of
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectobstetrics, bookyear1
